Individual provider · Type 1 NPI
Peter M. Petrusic, MS, ATC, PTA
Physical Therapy Assistant · Irmo, SC
Practice location
7467 Saint Andrews Rd Ste 9
Irmo, SC 29063-2876
Mailing address
2170 N Lake Dr Apt 1524
Columbia, SC 29212-8121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 2403 (SC) |
| Physical Therapy Assistant Primary | 225200000X | 3954 (SC) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
Another provider at this address
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- Thomas K. Kilgore, PTAPhysical Therapy Assistant Irmo, SC NPI 1699492850
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About NPI 1265929285
Peter M. Petrusic, MS, ATC, PTA's National Provider Identifier is 1265929285, issued on Apr 16, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Irmo, SC. The record was last updated on Apr 16, 2018.